MARK S HANTOOT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

HANTOOT

Suffix

Business Name

MARK S HANTOOT MD

Original Issue Date

04/29/1992

Effective Date

04/29/1992

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011